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Spinal Cord Compress
Spinal Cord Compress notes from Oncology lecture powerpoints/book
| Question | Answer |
|---|---|
| This happens when the tumor directly enters the spinal cord or when the vertebrae collapse from tumor degradation of the bone? | Spinal cord compression |
| Which cancers are more often a result of spinal cord compression? | lung; prostate; breast; colon |
| What does spinal cord compression symptoms favor? | A ruptured disk |
| Name 4 neurologic problems specific to spinal cord compression? | 1. numbness 2. tingling 3. loss of urethral, vaginal, and rectal sensation 4. muscle weakness |
| What is the best intervention to a good outcome fro spinal cord compression? | Early recognition and through assessment |
| The treatment of spinal cord compression focuses on what? | Pain. Treatment is pallative. |
| What drug is usually given for spinal cord compression treatment? | High-dose corticosteriods to reduce the swelling around the spinal cord |
| What is another treatment besides corticosteriods used to treat spinal cord compression? | High-dose radiation is used to reduce the tumor size. |
| What might the doctor also choose to do for a spinal cord compression treatment? | debulking surgery to reduce pressure |
| This can occur with spinal cord compression and is usually permanent? | paralysis |
| What should the nurse teach a client/family with spinal cord compression? | Signs and Symptoms of Spinal cord compression |
| What should also be included in the assessment for spinal cord compression? | BACK PAIN Patient's c/o back pain before neurologic deficits occur. |
| What other treatment may be used for spinal cord compression? | External back or neck BRACES to reduce weight on the spinal column and reduce pressure on spine and nerves. |